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FRED J PETRILLA JR PHD & ASSOCIATES PA
NPI 1003190059
Psychologist - Clinical in Vero Beach, FL

Active since October 07, 2011
1903 25TH ST, VERO BEACH, FL 32960(772) 562-0777(772) 770-3285 Get Directions Write a Review

NPPES record last updated: November 17, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fred J Petrilla Jr Phd & Associates Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRED J PETRILLA JR PHD & ASSOCIATES PA (NPI 1003190059) is a healthcare organization registered as a clinical in Vero Beach, Florida and active in the NPI registry since October 2011. The organization lists Fred J Petrilla, President, as its authorized official.

NPPES Registry Identity

NPI1003190059
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameFRED J PETRILLA JR PHD & ASSOCIATES PA
Location Address1903 25TH STVero Beach, FL 32960-3366
Mailing Address1903 25th StVero Beach, FL 32960-3366 · (772) 562-0777 · Fax (772) 770-3285
Phone(772) 562-0777
Fax(772) 770-3285
Organization SubpartNo
Authorized OfficialFred J PetrillaPresident · (772) 562-0777
Enumeration DateOctober 7, 2011
Last NPPES UpdateNovember 17, 2011
✔ NPI 1003190059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in FL · PY0002507
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologist · SchoolTaxonomy 103TS0200X · License SS33 (FL)
1903 25TH ST, Vero Beach, FL 32960
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Other Identifiers 2

Medicare PINFN156AFL
Medicare PIN75093FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FRED J PETRILLA JR. PHD
Psychologist (Clinical)
1903 25TH ST
VERO BEACH, FL 32960
Indian River County (772) 562-0777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fred J Petrilla Jr Phd & Associates PA's NPI number?

The NPI number for Fred J Petrilla Jr Phd & Associates PA is 1003190059. It was assigned to this organization in the NPPES registry on October 7, 2011.

Where is Fred J Petrilla Jr Phd & Associates PA located?

Fred J Petrilla Jr Phd & Associates PA is located at 1903 25th St, Vero Beach, FL 32960. The listed phone number is (772) 562-0777.

What is Fred J Petrilla Jr Phd & Associates PA's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Fred J Petrilla Jr Phd & Associates PA was last updated on November 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.